LVN

Gina R Bueno

********@*******.***

**** ****** ****** ****# 210-***-****

San Antonio, TX 78250

____________________________________________________________

I am writing to express my interest in the Case Management. In review of my credentials you will confirm that I possess skills that will allow me to perform up to standards. I am seeking new challenges in hopes of meeting my goals in case management. I am currently enrolled in Organizational Management Classes where I am working towards my Bachelors degree. I am confident that I have expressed leadership and a variety of skills. I have accepted additional responsibilities when given an opportunity. I am self motivated and goal driven. My greatest strength is my ability to work both in a team and individually. I manage my time effectively and have a clear vision to accomplish company goals.

Other interests of my background that may be of interest to you are:

• proven multi-tasking capabilities with the ability to plan and manage complex projects under aggressive timelines.

• “Team player” in my attitude and spirit

• Mentoring and evaluating performance

• Strong communication skills

• “Commitment” in my job duties and continuous improvement

• Good attendance

• Continuing Education in pursuing a Bachelors in management

• Maintain confidentiality

• Time management and organizational skills

• Effectively and professionally maintain rapport with employees internally and externally

• Processing Class “Lean Awareness” to promote process thinking

I assure you that I would be a well committed employee. I strive for what is best for the company and for our team. I have good relation skills and am very goal oriented. If given the opportunity I assure you I will succeed as your next Manager. Thank you for your time.

Sincerely,

Gina R Bueno, LVN

Clinical Nurse Specialist

Enclosure:

Resume and Cover Letter

Gina R Bueno

********@*******.***

8823 Silent Stream cell: 210-***-****

San Antonio, TX 78250 wk: 210-***-****

__________________________________________________________________________

OBJECTIVE: Seeking a management position in which my skills and experience will add value to the department.

EXPERIENCE:

09/2010-Present- LVN, Supervisor- Centralized Clinical Team

• Lead a standard team of both RN’s and LVN’s

• Ensured team was consistent in meeting quarterly goals and metrics

• Proactively addressing and resolving any issues that may impact customer satisfaction

• Motivate, coaching and developing team to ensure achievement of all metrics and goals

• Identified opportunities for improvement in business processes and workflow

• Build good solid relationships with leadership in other departments to help in the improvement of processes

06/09-09/2010 KCI - CLINICAL NURSE SPECIALIST –

• Assess patients on VAC therapy for wound progression.

• Driving sales on potential new orders for VAC therapy

• Managing territories, building relationships with customers and prioritizing my work

in order of importance. I have an ability to problem solve any issues that may arise while management of my territories.

• Training and Mentoring new employees while evaluating performance of their work

and reporting back to my Supervisor.

• Designated to lead Team East while my supervisor was at the Global Sales

Conference

• Effectively work with my customers telephonically in professional manner.

• Continue to help my peers on any questions that may arise in regards to our work.

The “Go to Person”

• Lean Awareness Class-Processing class to ensure a successful problem resolution

and promote process thinking

01/09-06/09 WELLMED - DENIAL COORDINATOR/NURSE REVIEW

• Effectively approve and deny patient cases through the denial and appeals process

• Responsible for the compliance and monitoring of the referral process for requested

Patient benefits to ensure time lines are met

• Coordinated quarterly audits ensuring that we were in compliance with our work and

performance

• Assist Case Managers in benefit research information for expedited denial process of

inpatients and preparation of letters.

• Special Projects-Completed and worked on all Templates for denial letters ensuring

that guidelines and proper verbiage was used.

• Ensured that Utilization Management Policy for denial decisions have been followed

and met

• Created a process of maintaining the denial logs by creating an excel spreadsheet to

follow and update

11/07-12/08 TEXAS SPECIALY NURSING AND REHAB - CHARGE NURSE

• Managed a team and delegated work and duties to CNA's

• On Call duties which included making sure that every station was fully staffed

• Wound care treatments of all patients on my floor.

• Weekend treatment Nurse on occasion when asked to treat all wounds in the facility

• Distribution of all medications to my patients

• Documentation of all patients and care

• Patient teaching and family teaching on compliance and all other aspects in regard

to their care

• Scheduling of all appointments

• Training and Mentoring of all new nurses coming on to our station to ensure that

they received optimal training to succeed in their role as an LVN.

04/04 -03/06 PACIFICARE/UNITED HEALTHCARE-MEDICAL AUTH/DENIAL ASSOC.

• Processing, planning and developing all aspects in the authorization and denial

department

• Designated to run the “Daily Claims Report” for the Western and Northwest region

and distribute it daily to the department.

• Worked all claims and high dollar claims

• Special Projects-Designated to work on a Call list to obtain total billing charges

• Worked on all Skilled Nursing and Inpatient Denial logs

• Designated to help other departments when they became backed up with their

workload

• The ability to multitask and use sound judgment on the workload and prioritization

of all aspect in my role as a Medical Authorization Associate.

• Ability to work without constant supervision

• Gold Carded on Compliance and Completion of work

• ICD-9 and CPT coding

• Maintained quarterly goals by meeting my deadlines and quotas

• Trained and Mentored new employees in their role in the UM department to ensure

a positive outcome on their knowledge of their overall work and performance.

EDUCATION:

06/89 Thomas Jefferson High School

San Antonio, TX

01/04 San Antonio College of Medical and Dental Associates

11/07 -Galen Health Institute -LVN

01/26/2010- Present- Ashford University- Organizational Management

SKILLS:

LVN Microsoft Word Typing 50wpm

Filenet Word Perfect Time Management

ICD-9 Excel Oracle

CPT Coding Claims Processing Internet Explorer

Claims Mgmt Outlook

10 key by sight Sales References upon Request

Contact this candidate